A Modification to the Gill Technique of Removal of the Rattler Fragment in Isthmic Spondylolisthesis

Adult isthmic spondylolisthesis treated with en-bloc laminectomy has long been a standard practice. The technique of removing the rattler fragment can have associated complications including durotomy and damage to exiting nerve roots. We describe a technique of en-bloc laminectomy by mobilizing the fragment through the pars defect and resecting the ligamentum flavum with the aid of an interspinous distraction device. *Corresponding author: Daniel D Lee, Desert Orthopedic Center, 2800 East Desert Inn Road, Suite 100, Las Vegas, Nevada-89121, USA, Tel: +7027314088; E-mail: ddleee@hotmail.com Received July 22, 2018; Accepted September 25, 2018; Published October 09, 2018 Citation: Lee DD, Amit Parekh DO (2018) A Modification to the Gill Technique of Removal of the Rattler Fragment in Isthmic Spondylolisthesis. J Spine 7: 418. doi: 10.4172/2165-7939.1000418 Copyright: © 2018 Lee DD, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.